Urine Specimen Collection from an Indwelling (Foley) Catheter (Nursing)

00:04 Let's talk about the skill Collecting A Urine Specimen from an Indwelling Catheter.

00:10 So, just know this slide I know looks really overwhelming, but just be really familiar with your facility protocols.

00:16 Now, due to the really high quality rates, we've talked about specific units may utilize a particular protocol or criteria on how we're going to collect that urinary specimen from an indwelling catheter.

00:30 So oftentimes, it's going to be driven by protocols that look like this.

00:35 So now, let's take a look at our equipment on how were you get that urinary specimen.

00:39 We need an alcohol swab to clean that port.

00:43 We need a syringe to pull back our collection in a sterile specimen container.

00:49 Now, really important, make sure you get a biohazard bag to put this in.

00:54 Once you collect a specimen, there could get some things on the outside of that you want to make sure this is sealed, and contained, and labeled appropriately.

01:04 Also, next, make sure the patient has a client identification label on the specimen.

01:10 If we don't label it, we don't know if it's his, hers, 952 room, 962s room, we're not sure and that's really important in regards to patient results and treatment.

01:22 So make sure, you put a patient label on your specimen.

01:32 Hey guys! Welcome to this skill urine specimen collection from an indwelling catheter.

01:39 So, just know, due to CAUTI rates, or Catheter-Associated UTIs, specific units may use criteria to gather a urine specimen from a catheter that's already in dwelling.

01:52 So this is going to matter with certain patient populations in cases, just be aware of their specific facility protocols that you need to follow.

02:03 So let's now take a look at what we're going to need.

02:06 We're going to need an alcohol swab to clean that port, we're going to need a syringe so we can pull back the urine, and also the designated specimen container that your facility uses.

02:17 Also, it's a great idea to grab a laboratory biohazard bag.

02:21 You want to make sure you put and secure this specimen in here.

02:25 And of course, it's really important to label your specimen.

02:29 That's a big deal.

02:31 It's really important to get the right results with the right patient.

02:41 So, before we get started, don't forget about your hand hygiene, and of course provide privacy to your patient.

02:47 Now, this is something we want to explain the procedure to the patient, and why we're collecting it is a great idea.

02:54 Now, of course, once we get started, you can use your bedside table and make sure you're going to place this on a clean surface.

03:03 And upon collection, you want to raise the bed for an appropriate working height so you have good body mechanics.

03:10 Now, since we've touched that bed, perform hand hygiene again, and don your gloves.

03:15 Now's a good time to go ahead and open up that specimen container and place the lid on the table.

03:22 Now, just note everything inside of that specimen container is sterile.

03:27 So be conscious not to touch inside here.

03:35 So now, let's talk about what we need to do to get started.

03:38 We want to perform our hand hygiene and provide privacy to our patient.

03:44 It's always important to make sure you explain the procedure to the patient and get your equipment ready.

03:49 And as you can see here, I've already got it on a clean surface.

03:53 So, make sure as well, before you start, I want to raise my patient's bed to an appropriate working height.

03:59 And now, that I've touched the bed, I want to perform my hand hygiene again and put on gloves.

04:13 So now, that I've done that, I also have my sterile specimen container here.

04:18 We want to make sure that I go ahead and open this up.

04:21 Just know that anything inside this container is sterile.

04:26 So you don't want to touch the inside surface.

04:33 So now, I've got this open, and I'm going to put this here.

04:41 Now, if there are some extra urine in the drainage tubing, for example, we want to drain any of this staining urine from the drainage tube, down into the collection bag.

04:52 Now, once we've done this, we can take those alcohol pads and disinfect that port using an alcohol swab again, and to allow it to flow dry.

05:02 Now, we can connect our syringe to the port.

05:05 And then we can pull back on the plunger, and when we see fresh air in here, we can aspirate the urine using that syringe.

05:14 Now, remove the syringe from the sampling port and you're going to slowly transfer the urine in the syringe into the specimen container.

05:23 Now, once we've completed this, you can dispose of the syringe and secure the top of the specimen container while maintaining sterility.

05:35 Okay, so once I've done this, once I get started, there may be some extra urine in the tubing itself.

05:43 I want to make sure I drain any standing urine from the tube into the collection bag.

05:48 And really, you're just going to use gravity.

05:50 So, it had this in drop this below. So that way I can empty this tubing.

05:59 Now, once I've done that, I'm going to take my alcohol swab and disinfect the sampling port here.

06:06 So the sampling port just as a reminder, this is our balloon port, this is not what we're using, in this case.

06:13 We are using the sampling port here and I'm going to clean it with my alcohol swab, and make sure it fully dries.

06:24 Now, once I've cleaned this, and allowed this to fully dry, I'm going to connect my syringe to the sampling port.

06:32 So of course, as you see that was a sterile syringe that I'm attaching.

06:36 So, I'm going to take my sample port, this is going to push just nicely in here.

06:41 This is called a needleless sampling port.

06:45 Sometimes, you may have to have a needle to access this just know this may vary depending on your equipment.

06:51 But right now, I've connected my syringe and I'm also going to make sure once fresh urine appears, I'm going to aspirate and pull back on the plunger.

07:00 So, it's important to note, if it's attached to the bedsheet go ahead and take this off.

07:06 And I want to make sure I clamp thoroughly here.

07:11 So, I'm going to clamp and then I'm going to aspirate urine here for my specimen.

07:20 Now, once I've done this, I can remove the syringe from the sampling port, and then I'm going to transfer this into the specimen container.

07:41 And you may need a certain amount, so you would just repeat the process.

07:45 So, once I'm done, let me go ahead and dispose of this syringe.

07:51 Then I'm going to take my container, make sure I secure the lid.

08:04 So, upon completing the procedure, we can label the specimen container at the client's bedside.

08:09 This is a great idea to do it at the bedside.

08:12 That way we can double check those patient identifiers.

08:16 We want to then ensure that the specimen container gets into the laboratory biohazard bag.

08:22 Now, we can discard our use supplies, put the patient back in the lowest position for safety.

08:29 Remove our gloves. Perform your hand hygiene.

08:31 And of course, don't forget to document your procedure.

08:35 Now, when we're talking about specimens, make sure you have the urine specimen and it's transferred to the lab immediately, or stored at the facility protocol.

08:49 Then I'm going to take my label.

08:50 In every facility is a little bit different on what the label looks like.

08:54 But you notice on this image here, there's some commonalities.

08:57 You definitely need the date, especially the patient's name, and all of the different components that's on your label.

09:04 So make sure that you label the specimen container at the bedside, and it may look a little something like this.

09:10 Then once I've done that, here's the big kicker.

09:13 Don't forget to place it into a biohazard bag, and it may look like something like this.

09:20 As you can imagine with transport, there may be urine on the outside of the sample, something like that.

09:26 We want to make sure that this stays secure.

09:28 So I'm going to put this in my biohazard bag.

09:31 We want to discard all of our use supplies.

09:34 Make sure as well, before you leave the patient that you're going to make sure that patients bed is in the lowest position.

09:42 Now, once we've done that, I can remove my gloves, perform my hand hygiene, and document the procedure.

09:48 Now, it's important to ensure that that urine sample is transferred to the lab immediately and stored according to the facility protocols.